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Study on Relationship between Reproductive Tract Infections and Personal Hygiene Behaviors among Vulnerable Married Women in Shanghai

Zeng-yu WEN, Jun-qing WU, Xi-hua ZHONG, Wen-ying LI, Xiao-ping ZHOU, Er-sheng GAO ( Medical School, Fudan University, Shanghai, 200032) ( Shanghai Institute of Planned Parenthood Research, Shanghai, 200032) ( Shanghai Xuhui District Population & Family Planning Commission, Shanghai, 200030)  
Objective:To understand the influence of personal hygiene behaviors on reproductive tract infections (RTIs) and to provide evidence for the intervention among married women at childbearing age. Methods :A total of 1 631 married women in 60 residence neighborhoods from 4 streets and 2 stagnant enterprises were selected by multistage cluster random sampling and interviewed face-to-face through questionnaires, laboratory tests assay and gynecological examination. All data were analyzed by SAS 8. 2. Results;The positive detection rates of five target pathogens, trichomonas vaginalis, Candida albicans, G. vaginalis, chlamydia trachomatis and Neisseria gonorrhoeae, in the study were 3. 04%, 5. 04%, 1. 52% , 6.68%, and 0. 12%, respectively . Personal hygiene practices and sexual behaviors among married women in the study were good in general. In terms of the prevalence of endogenous infection, there were statistical differences between women who had different frequencies of rinsing their vulvae and taking bath; and for the prevalence of sexually transmitted infection, there were significant differences between women whose husband had different frequency of washing their external genital organs before sexual intercourses each time. Meanwhile male condom could prevent sexually transmitted infections. Multiple logistic regression analyses indicated that the frequency of taking bath, the husband washing his external genital organ before sexual intercourse and the age of marriage were the influencing factors of RTIs, too. Conclusion: It is very urgent that health educational intervention of RTIs among married women be conducted and especially the knowl.-edge on condom's double effects on contraception and prevention of RTIs be disseminated to urge women to practice hygiene behavior to achieve the aim of preventing RTIs.
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